Automated monitoring with systems like FACIS® (Fraud Abuse Control Information System) is integral forthose in the healthcare setting to prevent things like fraud, negligence or abuse. After initial screening for employment or engagement, continuous monitoring for exclusions, sanctions, debarments and disciplinary actions against government-funded programs and recipients of entitlement programs ensure safety. In 2007, the Joint Commission introduced a two-part ongoing performance measurement program: Ongoing Professional Practice Evaluation (OPPE), designed to help identify those providers that may be delivering sub-par care, and Focused Professional Practice Evaluation (FPPE), which is a follow up to those identified through the initial OPPE.